Individual provider Active NPI

Richard T Honderick, DO

  • Family Medicine Physician
  • Springfield, MO
National Provider Identifier
1447390893
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R8D84 Issued in MO
Practice address
3231 S National Ave
Suite 280
Springfield, MO 65807-7304
Phone
(417) 885-0834
Fax
(417) 888-6763
NPI assigned
Feb 7, 2007
Last updated
Oct 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R8D84 MO Primary

Addresses

Primary practice location

3231 S National Ave
Suite 280
Springfield, MO 65807-7304

Mailing address

PO Box 2580
Springfield, MO 65801-2580
Phone (417) 829-4620

Other identifiers 3

IdentifierTypeStateIssuer
82536OtherARARK BLUE SHIELD
21571OtherMOMO BLUE SHIELD
242001022MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Services Iowa City, Inc. Family Medicine Current Accepting new patients
Mercy Services Iowa City, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Mercy Services Iowa City, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Mercy Services Iowa City, Inc. Current Accepting new patients
Mercy Services Iowa City, Inc. Current Accepting new patients
Mercy Services Iowa City, Inc. Current Accepting new patients
Mercy Hospital, Iowa City, Iowa Current Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

269 N 1st Ave
Iowa City, IA 52245
Phone (319) 339-3541

503 3rd St
Kalona, IA 52247
Phone (319) 656-3151

510 W Main St
Ste A
Solon, IA 52333
Phone (319) 624-2991

56 Cedar St
Tipton, IA 52772
Phone (319) 886-2195

206 Cookson Dr
West Branch, IA 52358
Phone (319) 643-2516

Interoperability endpoints

  • Direct secure messaging: richardhonderick@mic.allscriptsdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1447390893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2580",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658012580",
            "telephone_number": "417-829-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 S NATIONAL AVE",
            "address_2": "SUITE 280",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077304",
            "telephone_number": "417-885-0834",
            "fax_number": "417-888-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONDERICK",
        "first_name": "RICHARD",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R8D84",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK BLUE SHIELD",
            "identifier": "82536",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO BLUE SHIELD",
            "identifier": "21571",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242001022",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.